GARY WITKIN (NPI# 1922033398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922033398 |
| Entity Type | Individual |
| Full Name | GARY WITKIN |
| Credential | PHD |
| Practice Address |
8259 N Military Trl 9 West Palm Beach FL 33410-6352 |
| Mailing Address |
725 N 12th Ave Bldg B Arcadia FL 34266-8752 |
| Practice Telephone | 5613130730 |
| Mailing Telephone | 2399365250 |
| Mailing Fax Number | 2399369970 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2019-04-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PY8791 | FL | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PY8791 | FL | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
007681 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HIP | 00768168 | 01 | |
| FL | 010685700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396741849 | Gary Bruce Witkin | Pathology | 4755 Ogletown Stanton Rd, Newark, DE 19718-0001 | 2005-06-21 |
| Street Address |
8259 N MILITARY TRL 9 |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33410-6352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891015111 | Artemis Paschalis | Counselor | 8259 N Military Trl, Suite 5, West Palm Beach, FL 33410-6352 | 2010-06-09 |
| 1427299437 | Joan T Cooper Phd Pa | Psychologist | 8259 N Military Trl, Suite 12, West Palm Beach, FL 33410-6352 | 2009-03-20 |
| 1134337322 | James Hibel | Marriage & Family Therapist | 8259 N Military Trl, Suite 9, West Palm Beach, FL 33410-6352 | 2007-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811501026 | Vicky Pauline Salazar | Registered Nurse | 11501 N Military Trail, Palm Beach Gardens, FL 33410 | 2020-09-04 |
| 1417596388 | Chavon E Mayer | Doula | 149 Winter Park Lane, West Palm Beach, FL 33410 | 2019-12-24 |
| 1639711617 | Diamond Physical Therapy, LLC | Physical Therapist | 4025 Johnson Dairy Road, Palm Beach Gardens, FL 33410 | 2019-10-11 |
| 1689151714 | Caroline Devries Hesterman | Occupational Therapist | 9840 Alternate A1a Ste 402, Palm Beach Gardens, FL 33410 | 2018-07-21 |
| 1366937088 | Krystal Maya Khemkaran | Behavior Technician | 2979 Pga Blvd # 200, Palm Beach Gardens, FL 33410 | 2018-06-25 |
| 1548762552 | Arsenia Pomperada Sabusap | Nurse Practitioner | Grace Medical Center of Florida, 4212 Northlake Blvd., Palm Beach Gardens, FL 33410 | 2018-03-06 |
| 1538668199 | Alan Seidenfeld | Dentist | 7305 N Military Trl 3a-200, Riviera Beach, FL 33410 | 2018-02-08 |
| 1407361454 | Nuvista Living At Jupiter, LLC | Skilled Nursing Facility | 338 Pioneer Road, Jupiter, FL 33410 | 2017-12-12 |
| 1083125728 | Tom Long Biddle-xing | Nurse Practitioner | 3345 Burns Rd Ste 206, Palm Beach Gardens, FL 33410 | 2017-10-20 |
| 1801315189 | Kasie Sidman | Physical Therapist | 3929 Bluebell St, Palm Beach Gardens, FL 33410 | 2017-09-18 |
| Find all providers in zip 33410 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760948004 | Stephen Rich Alexander | Psychologist | 1825 Forest Hill Blvd Ste 204, West Palm Beach, FL 33406-6062 | 2019-02-12 |
| 1639661754 | Holly Elizabeth Goller | Psychologist | 931 Village Blvd Ste 905-144, West Palm Beach, FL 33409-1803 | 2018-06-04 |
| 1841720414 | Kaizen Behavioral Health, LLC | Psychologist | 5 Harvard Cir Ste 109, West Palm Beach, FL 33409-1979 | 2017-06-15 |
| 1770018368 | M.d. Behavioral Health | Psychologist | 5201 Village Blvd Ste B, West Palm Beach, FL 33407-7905 | 2017-04-21 |
| 1801265384 | Meier Clinics Foundation | Psychologist | 8350 Okeechobee Blvd, C/o Grace Fellowship, West Palm Beach, FL 33411-1925 | 2015-09-15 |
| 1831573609 | Jessica E Moe | Psychologist | 8259 N Military Trl Ste 13, West Palm Beach, FL 33410-6352 | 2015-07-12 |
| 1508259474 | Axiom Health LLC | Psychologist | 1801 N Flagler Dr, 910, West Palm Beach, FL 33407 | 2015-03-16 |
| 1659785947 | Judith Carney | Psychologist | 4716 Palmbrooke Cir, West Palm Beach, FL 33417-7533 | 2014-06-16 |
| 1346675113 | Lyndsay Madalena Henry | Psychologist | 2001 Palm Beach Lakes Blvd Ste 300, West Palm Beach, FL 33409-6515 | 2013-09-11 |
| 1952734873 | Palm Beach Professional Group, PC | Psychologist | 4400 E Congress Ave, Ste. 201, West Palm Beach, FL 33407 | 2013-08-14 |
| Find all providers in WEST PALM BEACH | ||||
| City | WEST PALM BEACH |
| Zip Code | 33410 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.